-
alcoholic hepatitis recognition
ast/alt ratio is 2/1
-
patient is not cyanoitic but presents with a murmur of vsd
if patient is cyanotic then it is
-
fastest way of moving K into the cells
insuling/dextrose
-
when do you get the acetominophen levels?
after 4 hours from ingestion
-
what needs to be replaced in volume contracted metabolic alkalosis
potassium
-
bile duct loss is seen in what liver condition
primary biliary cirhosis
-
diarrhea then myositis, periorbital edema, chemosis
trichinella
-
when do you see calcium phosphate stones
in hyperparathyroid or rta type I
-
preferred airway intubation for patients with cervical neck fractures
orotracheal
-
what diagnoses are clinical and you can treat as next step
- appendicitis
- asthma
- pneumothorax
-
what has longer supplies in the body, vitamin b12 or folate
vitamin b 12
-
rx for chronic hep or hep c
- hep B--IFN or lamuvidine
- hep C-- IFN + ribavirin
-
when do you give ibig against hep b + hep vaccine
for prophylaxis in recently exposed
-
most common cause of neonatal sepsis
gbs
-
rx for appendicitis taht is >5 days old and is an abscess
manage conservative with iv abx and then appendectomy
-
raash, arthritis, + post auricular lymph nodes
rubella
-
when is treachostomy is the answer?
never
-
breast abscess vs mastitis
abscess is palpable and fluctuant
-
most common kidney stones
calcium oxalate
-
most important factor in development of edema in heart failure
sodium retention
-
fever, decreased hearing, ear discharge with rhinitis, dx
acute otitis media
-
gastric outlet obstruction commonly occurs secondary to
peptic ulcer disease
-
painless bleeding in 2 year old
painfull bleeding in a 2 year old
-
fastest way of getting K into the cells
insulin/dextrose
-
rx for endocarditis
iv penicillins/vanco
-
when all meds fail in copd exacerbtaion and before intubation, best step
non invasinve positive pressure ventilation
-
dx of schizoaffective
schizo symptoms for at least 2 weeks when mood symptoms are not present
-
central scotoma, deficiency afferent pupillary reflex?
optic neuritis
-
rx for ascites?
- sodium and water restirction
- spironolactone
- loops
- paracentesisr
-
rx for asymptomatic lymphodenopathy?
observe if small and rubbery
-
precocious puberty due to a tumor in the brain and opthalmoplegia
perinaud's tumor--pineoloma
-
screening in young kids, 1-5 years old
vision
-
dementia, + falls + hallucinations
lewy body dementia
-
rx for cellulitis with no systemic symptoms
with systemic symptoms?
-
type of selection bias where a treatment regimen is selected for a patient based on the severity of their condition without taking into account other possible confounding variable
susceptibility
-
new onset lupus nephritis, next step
biopsy
-
an electrolyte complication of any brain patholgy
- siadh
- or
- diabetes insipidus
-
4 causes of very high chloride in the urine with metabolic alkalosis
what is the difference?
- barter---normal
- primary aldosteronism
- renin secreting tumor
- diuretics
-
study design with randomization to different intervention with additional study of 2 or more variables?
factorial study design
-
patient with pms or pmdd suggestive symptoms, next step?
keep a diary and document 3 cycles of symptoms
-
what increases the power an decreases the confidence interval.
the sample size
-
heavy menses, dysmenorrhea, enlarged uterus
fibroids
-
common causes for htn in young ppl
- fibromuscular dysplasia
- renal artery stenosis
- conns
- coarctation
- pheo
- cocaine
-
high voltage on ekg
hypertrophy
-
side effect of theophylline toxicity
- everything is up
- cns---agittation, seizure
- cvs--arrhythmias
- gi--nausea, vomiting, diarrhea
-
decreased sensitivity around the wound, crepitus
necrotizing fascitis
-
pustules, tenosynovitis and migratory polyarthritis
gonococcemia
-
how to distinguish rotator cuff tendonitis(impigement) from other rotator cuff pathologies
impingement--pain resolves with lidocaine injection
-
cant lift arm over head
pain relieved with lidocaine
- adhesive capsulitis
- impigment--rotator cuff tendonitis
- rotator cuff tear-- weakness of arm
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